QPP Guide for LCSW

Starting in 2013, Physicians’ Quality Reporting System (QPP) is a mandatory program for reporting to CMS (Centers for Medicare and Medicaid), and penalties will now be imposed on non-reporting Medicare professional providers, including LCSW. 

In 2014, CMS began a new QPP reporting program: The Qualified Clinical Data Registry (QCDR).  As an evolution of traditional QPP reporting methods (such as Claims or Qualified Registries), QCDR reporting offers the following advantages to Medicare providers:

1. QCDRs have inherent processes that integrate more easily with the workflow of the LCSW and other Behavioral Health (BH) professionals, including those who do not use EHRs.

2.  QCDR reporting does not have many of the restrictions inherent in the legacy QPP reporting methods; Using the QCDR enables providers to greatly improve the success rate of their QPP report process. (as opposed to >50% failure rate for legacy QPP Claims reporting.  See details)

3. As a partner with a professional organization, a QCDR can create measures relevant to a provider’s specialty.  For example, NQF measure 0105 - Antidepressant Medication Management (AMM) can be proposed as a QCDR specific measure to help fulfill QPP reporting requirements of a mental health professional. 

4. The QPP submission generated by a QCDR on behalf of a LCSW and other Behavioral Health (BH) professionals contains only the population statistics of the patient panel chosen by the Medicare provider. 

CUHSM.org is a QCDR registered with CMS that provides QPP support to LCSW and related medical professionals.   We streamline the QPP reporting process by providing alternative methods that integrate with the CMS billing workflow of providers, especially for those who do not use an EHR:

Please click on the links below for more information.

 

PQRS Measures